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r-rJri •.-HL iriJr-:wIFi <br /> 011 03:36PM P 2 <br /> APPT�ICA�ION FOR1CROACSMENT PLR1 <br /> Date �� - <br /> OFFZCN U'S8 ONLY <br /> TO: San Joaquin Ooucty <br /> Departmeat o l�tb3ic f7orlc8 Job s 77 <br /> AM <br /> ZA P- DATE is <br /> (Amlicaut Namo) S ID 2, D�AY3: <br /> 'Iib 1@�• �r * <br /> 5 --- TYP <br /> g "" ------------ <br /> (�i.x� FOxrrs • s — <br /> NOTB <br /> State, .p Code) -� <br /> Wal <br /> (Area Code - 'elepb, Neer <br /> Sketch {Detailed <br /> may be vbbm tted) <br /> rn <br /> :'fie undersigned hereby applies fox <br /> Otherwise-encroach.on cour3t .. permission to.excavate,. us ruct and/ox <br /> Y.Rig 22ight-of-We, �e <br /> of $PPxaximately as Feet :'af <br /> fc+llotp =g workmiZG <br /> (descriptiOn of-wp— rk _ 'tae7rfosmit5 the <br /> Q ( A <br /> W .r <br /> Work will c01=eace on or'alx�ut <br /> `-- C <br /> days;. fox aPpmxi arate3 <br /> Y <br /> 1• the =dexsigaed cexti <br /> qualified to re xes � that, x amt the Otaaex' of•the lespee't�.ve ro er.�t <br /> accordance P ettt the Maier and agree Co ' P p Y, or an <br /> w;jt the rimes, recut to li=k descri)>ed. above in <br /> i-aspectioxz and appro�, �+ �-1 t f of San '704.x',,C6umty and subject to <br /> Signature 0.%: <br /> Applicant <br /> rasx -pr r+�a <br /> Woo Teri <br />